bill4745 6,107 Views
Joined May 29, '06.
Posts: 896 (30% Liked)
I've been working nights for 7 years and still hit a wall around 4 am. I anticipate it and try to be up and walking at that time. Everyone else has given great suggestions.
What is this "sleep" you speak of?
This post cannot be for real.
No it is not an easy job.
Yes, it is hard to get one.
I had a sign.....
DO NOT RING BELL....owner works nights and has a large dog......ANY QUESTIONS?
In my opinion, yes, it's way too early to be concerned!!! You are so fortunate to have a job in a place that is well staffed and not hectic! While I agree that it's important to develop your prioritization and time management abilities, I often feel that we place patient safety in jeopardy by throwing newer nurses into chaotic environments to sink or swim. I think you should take advantage of this time to solidify your assessment skills, gain a greater understanding of applied pathophysiology and pharmacology, and, last but definitely not least, work on developing your interpersonal communication skills with your patients and their family members while you are in the kind of environment where you don't have to throw that out the window just to survive your shift. Take advantage of the kind of environment you're in now to challenge yourself in ways you won't have time to in the future when you take a position in a more high volume/lower staffed environment.
You are right. With all you knew initially it could have easily been an honest oversight - such as planning to give the patient 2 but then patient only wanting one. At that point I may have pointed it out to her..."Hey, I noticed xyz last night. Be sure to keep your documentation straight so you don't get accused of something". If I saw it again - I'd report in a heartbeat.
I'll be right back!
You're a nurse?? That's cool...I wanted to do that when I was a kid. What do you make?"..."WHAT DO I MAKE?? I make holding your hand seem like the most important thing in the world when you're scared. I can make your child breathe when they stop. I can help your father survive a heart attack. I make myself get out of bed at 5am to make sure your mother has the medicine she needs to live. I work al...l day and night to save the lives of strangers. I make my family wait for dinner until I know your family member is taken care of. I make myself skip lunch so that I can make sure that everything I did for your husband today is charted. I make myself work weekends and holidays because people don't just get sick Monday thru Friday from 9-5. Today, I might save your life. I make a difference... What do you make?"
I feel like a 27 year old should be a little more mature and realistic. You want to work in healthcare, but claim you're introverted and not a people person? You just want to have a "stress-free" job and make lots of money--yeah, DON'T WE ALL?! If these are the things you're looking for, a career in healthcare is not for you.
Also, yammering on about how you don't like BS and how you don't take BS from others sounds very defensive, unprofessional, and probably won't win you any good jobs. If you can't hold it together long enough to make it through a day at work without having this attitude, you won't make it in healthcare.
Yes, I know. I am just curious more or less if people enjoy careers as speech and language pathologists..
Oh, did you know that last person who died in that bed had HIV, Hep C, MRSA ect, we just threw a cover over it but it still needs to be cleaned professionally. Go ahead lie on it, cook on it - at your own risk.
1 word: Versed
Sorry but that's why I'm in the ER. I'm giving 4mg Versed
and let him try again in the morning when he wakes up and after my shift is over.
The only doctors I call Dr are the attending surgeons, and that is because they deserve it. At this point in my career, the residents are about my age. While I usually respect their decisions, they rotate through each service for 1 month so it is usually necessary to educate them on how the unit works. In turn, they educate me on why they are making their decision. So it feels more like a peer-to-peer relationship.
When it comes to patient relations, I prefer them to use my first name. Nothing irks me more than the patient desperately crying "NUUUURSE" when they are fully A+O, call bell in reach, and have my name written on the board. Nursing is supposedly one of the most trusted professional groups (or at least that is what they told me in nursing school), second to firemen post-911. I want my patients to trust me, and I think being on a first-name basis is part of that trust.
no one may agree with me, but I would call the primary doc. tell them of my mistake and ask for a one time order to cover me and insure that communication of the discontinuation was prevalent. Many times, doc's understand, no harm comes and then you are covered.
Those that haven't practiced for 16 years are now going to blow my response out of the water. Just consider my reply, call the doc immediately, get an order. Those that are hot to disagree will remember this advice when you make the same mistake. We all make them, call the doc and just get an order for what you did. If they won't give you one, then you write yourself up, QCC it and take the blame.
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